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intact skin Neoxidina Alcolica Incolore Medical/Surgical product for intact skin based on Chlorhexidine gluconate. Ready-to-use alcoholic solution for EXTERNAL USE Technical Information 1. Composition care units, ambulances, diagnosis clinics and others, for antisepsis of: 100g of solution contains: Active ingredient: Chlorhexidine gluconate Ethyl alcohol 95° Excipients: Denaturing agents of ethyl alcohol (isopropyl alcohol and acetone), co-formulants, purified water 0.5g 66.29g a. the intact skin of a patient before surgery or other invasive operations; b. the hands of healthcare personnel for the carrying out of antiseptic procedures, after contact with infected material and in preparation for surgery. The product must be used as it is, without dilution. up to 100g 2. Product characteristics Neoxidina Alcolica Incolore is a ready-to-use alcoholic solution for antisepsis of intact skin and hands. Contains chlorhexidine gluconate and ethyl alcohol. Works immediately and remains effective over time. The recent guidelines from the American CDC recommend the use of alcoholic solutions for social and surgical antisepsis of hands, since the use of such products, rather than antiseptic soaps, does not require water and is simple and fast. 3. Range of application and instructions for use Neoxidina Alcolica Incolore is highly practical to use, since it does not require water for either washing or rinsing. Antisepsis of skin and hands may, therefore, be carried out everywhere, with no need for sponges or water. Neoxidina Alcolica Incolore may be used in all departments where hygiene is important, such as, for example, hospital wards, operating theatres, intensive a. Antisepsis of intact skin of a patient: soak a sterile swab and apply to the area to be treated, scrub vigorously for at least two minutes. b. Antisepsis of hands prior to surgery: napply 6ml (3 presses of the 2 cc dispenser pump) of solution to the hands and forearms; n scrub vigorously for at least 1 min. 30 sec. until completely dry; n repeat the operation a second time (total 3 minutes). c. Antisepsis of the hands of healthcare personnel on the ward: napply 4ml (2 presses of the 2 cc dispenser pump) of solution over the hands and wrists; n scrub vigorously for at least 30 sec. and wait until completely dry; It should be noted that, before starting antisepsis on the hands, or afterwards if hands are visibly dirty, it will be necessary to wash them with an antiseptic detergent solution. Warning: Neoxidina Alcolica Incolore may cause chemical burns to newborns, especially if born prematurely. Use with caution. INFORMATION RESERVED FOR HEALTH CARE PROFESSIONALS AND PROFESSIONAL USERS NEOXIDINA ALCOLICA INCOLORE TECHNICAL INFORMATION 2 of 2 4. Microbiological activity Neoxidina Alcolica Incolore is a chlorhexidine gluconate and ethyl alcohol-based solution. Chlorhexidine gluconate is particularly effective against gram-positive bacteria, yeasts and viruses. It works through inactivation of the fundamental enzymatic systems of the cell wall, initial disorganisation of the cytoplasmic membrane, modification of the permeability and consequent loss of cell material. The ethyl alcohol causes coagulation phenomena that damage the proteins, following the demolition of the hydration ring that surrounds the protein molecules that make up the protoplasm and keeps them in suspension. As shown by specific studies on biocidal activity, Neoxidina Alcolica Incolore effectively reduces resident and transient bacterial flora on the skin. The solution has bactericidal (gram + and gram -), yeasticidal (Candida albicans) and virucidal activity. The following tables summarise the biocidal efficacy data of Neoxidina Alcolica Incolore. Specific strain Reduction Gram + bacteria Staphylococcus aureus ATCC 6538 > 105 Gram – bacteria Pseudomonas aeruginosa ATCC 15442 > 105 Table 2: Bactericidal activity in suspension for hygienic and surgical handrub and handwash (prEN 12054) Contact time = 30 seconds Group of microorganisms Specific strain Reduction Gram + bacteria Enterococcus hirae ATCC 10541 > 104 Gram + bacteria Staphylococcus aureus ATCC 6538 > 104 Gram – bacteria Escherichia coli K12 NCTC 10538 > 104 Gram – bacteria Pseudomonas aeruginosa ATCC 15442 > 104 Table 3: Hygienic handrub in conditions simulating practical use (EN 1500) - Contact time = 30 seconds. Gram – bacteria Specific strain Reduction Yeasts Candida albicans ATCC 10231 > 104 Table 5: Virucidal activity (EN 14476) Contact time = 1 minute Group of microorganisms Specific strain Reduction Viruses Poliovirus, Adenovirus > 104 A study has also been carried out to assess the action of Neoxidina Alcolica Incolore for surgical hand disinfection under the conditions laid down by European standard EN 12791:2005: the product satisfies the requirements of the standard with a rubbing time of 1.5 min + 1.5 min (total 3 minutes). 5. Packaging Group of microorganisms Group of microorganisms Group of microorganisms Specific strain Average logarithmic reduction Escherichia coli K12 NCTC 10538 Greater than the product used as a reference Bottle 48 x 100ml + spray 24 x 250ml + spray 24 x 250ml 20 x 500ml 12 x 1L ref. PF06942 ref. PF06941 ref. PF06934 ref. PF06987 ref. PF06986 6. Quality control The components (raw materials, containers, labels etc.) and production steps of each individual batch are carefully controlled in compliance with the SOP (Standard Operative Procedures) required by standard UNI EN ISO 9001 and Good Manufacturing Practices. 7. Storage and stability The product is highly flammable. Keep the bottle properly closed and away from flames, sparks and any heat source. Do not smoke. Keep out of reach of children. Neoxidina Alcolica Incolore in the original sealed packaging has a validity of 36 months. intact skin Table 1: Basic bactericidal activity (EN 1040) Contact time = 30 seconds. Table 4: Basic yeasticidal activity (EN 1275) Contact time = 30 seconds If the package is correctly opened and closed at the end of each disinfection operation, without contamination of the residual part, the product maintains its chemicalphysical and microbiological characteristics for 90 days. Store below +30°C. 8. Regulatory references Holder of the registration: Nuova Farmec S.r.l. – Via Flemming, 7 37026 Settimo di Pescantina (VR) – Italy. Presidio Medico Chirurgico authorized by Italian Ministry of Health registration N. 16596. INFORMATION RESERVED FOR HEALTH CARE PROFESSIONALS AND PROFESSIONAL USERS USF Healthcare S.A. | Rue François Perréard 4 | CH-1225 Chêne Bourg | Geneva | Switzerland Tel + 41 22 839 79 00 | Fax + 41 22 839 79 10 | [email protected] www.usfhealthcare.com 11/2015 - A